15-102562 '�'
•• Electrical
city`'FWay Permit #: 15 102562 00 EL
Community&Econ.con.Dev.ServicesFILE
33325 8th Ave S
Federal Way,WA3 Request Line:
Ph:(253)835-2607 Fax:(253)53) Inspectionues253 835-2609 Q � )835-3050
Project Name: GRAHAM REAL VENTURES LLC
Project Address: 1215 S 356TH ST Parcel Number: 292104 9036
Project Description: Install Meter/Main for exiting Building.200A-120/240V
Owner Applicant Contractor
GRAHAM REAL VENTURES LLC A&J BOWERS LLC A&J BOWERS LLC
18811 16TH AVE S 12716 NE 142ND ST 12716 NE 142ND ST
SEATAC WA 98111 FEDERAL WAY WA 98034 FEDERAL WAY WA 98034
Additional Permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Alt.Srvc/Feeder 0 to 200
amps(C 1
CONDITIONS:
1.Adjacent to Category I wetland
PERMIT EXPIRES Tuesday, November 24, 2015
Permit Issued on Thursday, May 28, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent 4/
Date:
[FIMALED
1 THIS CARD IS TO ON-SITE - . -
CITY OF • Constructionn i n Record
Federal Way INSPECTION QTS: (253)835-05
,
PERMIT#: 15-102562-00-EL Address: 1215 S 356TH ST
Project: GRAHAM REAL VENTURES LLC FEDERAL WAY, WA 98003-7401
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0 UFER Ground (4295) El Ditch cover(4030) '0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
CI Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date •
El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
• Approved
.BsIlf
Date�s.e._ /� +
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
ill
CITY of A EL CTRICAL
Federal Way PERMIT APPLICATION
1 RECEIVED
PERMIT NUMBER . ° Co25 _ I S _ 0 O
MAY 28 2015
SUITE/UNIT/SPACE#
SITE ADDRESS: 12_ j c 5-0 3 5 CTI( CITY OF FEDERAL WAY
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/COS:GED USE
4.5-Cin ._ - - — — —
PROJECT NAME
(Tenant or Homeowner Last Name) �j,12."-HA&i. 1_ V1 trA/r &M.,orf LL
/#JSCA LA 41 it r&it-lm i,/<-• /row 6X/S 9'/4-4.. f,i-DG ,
PROJECT DESCRIPTION 2 00 4 -a.oJ2i J ^ 1.9/4 ca-t w.'C b
Detailed description of work to M/S t_ 6QIA1 M-4 T O w S/o tr tJ I R-.4....C.►
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER G )1 4 vim, 2ts-tx L "UM/PA S (206 ) 7,4- go 4 0
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
wA ( ) -
NAME PRIMARY PHONE
i *i 03oc.,..2�)-u-S L Le__ (qac) 1?o- J 56'-/
MAILING ADDRESS E-MAIL
ELECTRICAL )Z /6 fit/CF /112-A.42 C j J.52 k Hdl.4l /L.el wt--
CONTRACTOR
-CONTRACTOR CITY STATE Zn' FAX
i<Ii2KL/490 w4 alio 3if ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAMEPRIMARY
t� PRIMARY PHONE
APPLICANT 4 _1 Video c.. s LL (42c )770 - / Ll
MAILING ADDRESS E-MAIL
i2 -116 A.) E I Z/1/4.h CIT -/az.°N0//O Mit) t.to"•%-
CITY STATE ZIP - FAX
tic 1 n-fC U2i-o ku,1 '3( $ 1 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT -1 ER.(L•-\_ a o c..31 ti-S (142-1/4 ) "r]o - /Cot
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
,Ip .,r„_,
S /Zp1 20/S
SIGNATURE: ‘•031-
,�, DATE ff
PRINT NAME: 2la-1-1 11 AoGJ =h-S
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application